Is PPACA’s provision to fine individuals for failing to buy health insurance constitutional?

Health care services in the U.S are offered by a variety of separate legal organizations.

The private sector owns and manages a majority of the health care facilities in the U.S. In the

U.S, health insurance is basically provided by the government within the public sector. Even

though, the U.S healthcare system has been ranked by the WHO first in responsiveness, it is

struggling with a myriad of problems. Moreover, the fact that the U.S spends a higher percentage

of its GDP on healthcare than any other country, it is ranked 37 out of 191 countries in terms of

its performance (Mooney, Knox & Schacht, 2010, p.50). According to Garson (2010, para 2), the

U.S healthcare system is broken and it is far from recovering. He further argues that its problems

are bound to worsen and that new challenges will rise.

The U.S.A is the only affluent and industrialized country that does not guarantee

healthcare coverage for all of its citizens. As of year 2010, over 45 million Americans were not

having health insurance coverage (Mooney, Knox & Schacht, 2010, p. 50). These people did not

have any kind of private or public health insurance. Sadly, a report prepared by the Institute of

Medicine in year 2004 indicated that lack of health insurance coverage causes approximately

18,000 preventable deaths every year in the United States (Mooney, Knox & Schacht, 2010,

p.50). In 2009, a Harvard survey approximated that 44,800 excess deaths occurred each year as a

result of lack of health insurance coverage.

Besides inadequate health insurance coverage, covered Americans do not have assurance

that their coverage will help them when they need it most. This problem is caused by health

insurance companies’ greed for more profits (Mooney, Knox & Schacht, 2010, p.50). They

achieve this through denial or limiting of treatment, covering less expensive drugs only or even

ending policies in order to shun paying claims (Mooney, Knox & Schacht, 2010, p.50).

There are also serious inequalities in health insurance coverage in the U.S.

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